Get PrEPared! A Pill to Prevent HIV

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Transcript of Get PrEPared! A Pill to Prevent HIV

PrEP MedicinesTruvada - tenofovir disoproxil fumarate (also called TDF,or tenofovir) and emtricitabine (also called FTC)A Simple PrEP tutorialResearch Supporting PrEPThe risk of getting HIV infection was lower—up to 92% lower—for participants who took the medicinesconsistently than for those who did not take the medicines.Guidelines for PrEP usePrEP should be considered for people who are HIV-negative and at substantial risk for HIV infection.Detecting Substantial RiskPrEP AccessClinically Eligible• Documented negative HIV test before prescribing PrEP

• No signs/symptoms of acute HIV infection

• Normal renal function, no contraindicated medications

• Documented hepatitis B virus infection and vaccination statusPrescription & Follow-up• Follow-up visits at least every 3 months to provide:• HIV test, medication adherence counseling, behavioral risk reduction support,side effect assessment, STD symptom assessment• At 3 months and every 6 months after, assess renal function• Every 6 months test for bacterial STDs• Do oral/rectal STD testing • Assess pregnancy intent• Pregnancy test every 3 months• Access to clean needles/syringes and drug treatment servicesHIVReductionPrEPA Pill to Prevent HIVFDA approved in July 2012Taken in a single pill daily for HIV preventionTrials evaluated PrEP among gay andbisexual men, heterosexual men and women, and injection drug users.US Public Health Service released the first comprehensive clinical practice guidelines for PrEP in May 2014www.cdc.gov/hiv/pdf/guidelines/PrEPguidelines2014.pdfSexual Transmission ongoing relationship with an HIV-positive partnerAnyone in a non-mutually monogamous relationship and 1) gay or bisexual man who has anal sex without a condom or diagnosed with an STI within 6 months 2) heterosexual man or woman who does not regularly use condoms during sex with partners of unknown HIV statusPeople who inject drugsThose who have injected illicit drugs in past 6 monthsMen who have sex with Men (MSM)• Sexual partner with HIV• Recent bacterial STD• High number of sexpartners• History of inconsistent orno condom use• Commercial sex work